Jessica Koblenz, in Astoria, NY - Medicare Psychologist Provider

Jessica Koblenz, is a medicare enrolled "Psychologist - Clinical" provider in Astoria, New York. Her current practice location is 2540 Shore Blvd, 4i, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (847) 404-0772.

Jessica Koblenz is licensed to practice in New York (license number 019849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619392560.

Contact Information

	Jessica Koblenz,
	2540 Shore Blvd, 4i, Astoria, NY 11102-3941
	(847) 404-0772
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Koblenz
Gender	Female
Speciality	Psychologist - Clinical
Location	2540 Shore Blvd, Astoria, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619392560
Provider Enumeration Date: 03/02/2014
Last Update Date: 03/02/2014

Medicare PECOS Information:

PECOS PAC ID: 8224352661
Enrollment ID: I20150113001889

Medical Identifiers

Medical identifiers for Jessica Koblenz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619392560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	019849 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Koblenz allows following entities to bill medicare on her behalf.

Entity Name	Harlem Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Koblenz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Koblenz, 2540 Shore Blvd, 4i, Astoria, NY 11102-3941 Ph: (847) 404-0772	Jessica Koblenz, 2540 Shore Blvd, 4i, Astoria, NY 11102-3941 Ph: (847) 404-0772

Reviews and Comments

Psychologist in Astoria, NY

Cristina Mastellone, M.S. ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Dr. Irene Giusti, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16-15 9 Street, Private House, Astoria, NY 11102 Phone: 718-204-0233 Fax: 718-204-0234
Courtney Marie Owens, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2421 41st St Apt 5f, Astoria, NY 11103 Phone: 585-794-0753
Stacie Lurch, M.A Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Dr. Rischa Connell Gottlieb, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4807 30th Ave, Apt 1, Astoria, NY 11103 Phone: 917-559-7209
Dr. Lizbeth Charley Ferrer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250
Ms. Nonda L Volpe, Psychologist Medicare: Medicare Enrolled Practice Location: 3407 41st Street, Apt 2l, Astoria, NY 11101 Phone: 917-279-6762

Jessica Koblenz, - Medicare Psychologist in Astoria, NY